Lateral intercostal artery perforator flap used in salvage of exposed tissue expander of breast: Case report

Unal, Cigdem; Gercek, Huseyin; Yaşar, Emrah Kağan; Utkan, Zafer

doi:10.1002/micr.20897

Cited by 9 publications

(8 citation statements)

References 12 publications

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“…Used mostly in skin defects of thoracic region, these flaps have been considered as difficult to dissect and prone to venous congestion in early postoperative period which may lead to partial or total flap loss. Besides this, published data now including our series has shown the safety of ICAP flaps (Hallock, ; Minabe & Harii, ; Unal, Gercek, Yasar, & Utkan, ; Veber, Ho Quoc, Fakiha, Toussoun, & Delay, ; Zang et al, ). Only two out of 52 flaps in our series have been complicated with one of them being detached just after it was raised on a thin lateral intercostal artery perforator and the other one due to venous congestion.…”

Section: Discussionsupporting

confidence: 54%

Extended locoregional use of intercostal artery perforator propeller flaps

et al. 2016

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Besides conventional flaps, intercostal artery perforator flaps have been reported to cover trunk defects. In this report the use of anterior intercostal artery perforator (AICAP) flap, lateral intercostal artery perforator (LICAP) flap and dorsal intercostal artery perforator (DICAP) flap for thoracic, abdominal, cervical, lumbar and sacral defects with larger dimensions and extended indications beyond the reported literature were reevaluated. Thirty-nine patients underwent surgery between August 2012 and August 2014. The age of the patients ranged between 16 and 79 with a mean of 49 years. The distribution of defects were as follows; 12 thoracic, 8 parascapular, 3 cervical, 8 abdominal, 4 sacral and 4 lumbar. AICAP, LICAP and DICAP flaps were used for reconstruction. Fifty-two ICAP flaps were performed on 39 patients. Flap dimensions ranged between 6 × 9 cm and 14 × 35 cm. Twenty-six patients had single flap coverage and 13 patients had double flap coverage. Forty-six flaps have been transferred as propeller flaps and 6 flaps have been transferred as perforator plus flap. Forty flaps (75%) went through transient venous congestion. In one DICAP flap, 30% of flap was lost. No infection, hematoma or seroma were observed in any patient. Follow-up period ranged between 3 and 32 months with a mean of 9 months. The ICAP flaps provide reliable and versatile options in reconstructive surgery and can be used for challenging defects in trunk.

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Section: Discussionsupporting

confidence: 54%

Extended locoregional use of intercostal artery perforator propeller flaps

et al. 2016

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“…23 If signs of inflammation are not detected, latissimus dorsi flaps or local perforator flap can be applied. 24,25 In cases of inflammation, the implant should be removed and later reconstruction or implantation of autologous fat can be chosen. 8 However, these procedures may have disadvantages.…”

Section: Discussionmentioning

confidence: 99%

A Possible Technique for the Complex Reconstruction of Exposed Breast Implant: Applicability and Microcirculation of the Capsule Flap

Várga

Mohos

Varga

et al. 2018

Journal of Investigative Surgery

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“…Nelson et al report 82.9% overall success rate with distal lower extremity reconstruction using propeller flaps . Encouraging results have been observed in the recruitment of propeller flaps from other locations such as the trunk . The DIEA flap remains a robust abdominal source for reconstruction as it is popularized in groin reconstruction and breast surgery .…”

Section: Discussionmentioning

confidence: 99%

“…20 Encouraging results have been observed in the recruitment of propeller flaps from other locations such as the trunk. 7,21 The DIEA flap remains a robust abdominal source for reconstruction as it is popularized in groin reconstruction and breast surgery. 16,[22][23][24] Detailed descriptions of the deep inferior epigastric system have predominated the published literature.…”

Section: Discussionmentioning

confidence: 99%

Freestyle propeller flaps from the lower abdomen: A valuable reconstructive option for proximal thigh defects

2013

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The concepts of freestyle flap design allows for flap creation from virtually every place in the body. Descriptions of named flaps based on their arterial origin are commonly described in the literature, allowing for predictable flap design. However, in certain cases, isolating a flap based on a Doppler signal and retrograde perforator dissection will allow for appropriate flap creation and wound coverage. We describe a 52-year-old female with a chronic open wound that failed wound care and local soft tissue rearrangement. This led to detection of a strong perforator signal in the lower lateral abdomen prompting the use of a freestyle propeller flap. The patient recovered without complication. Twelve-month follow-up demonstrated trunk and lower extremity mobility without impairment. We describe a successful and novel use of a rare, unnamed perforator from the lower, lateral abdomen by employing the freestyle propeller flap for coverage of a proximal thigh wound.

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Lateral intercostal artery perforator flap used in salvage of exposed tissue expander of breast: Case report

Cited by 9 publications

References 12 publications

Extended locoregional use of intercostal artery perforator propeller flaps

Extended locoregional use of intercostal artery perforator propeller flaps

A Possible Technique for the Complex Reconstruction of Exposed Breast Implant: Applicability and Microcirculation of the Capsule Flap

Freestyle propeller flaps from the lower abdomen: A valuable reconstructive option for proximal thigh defects

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